CTB23 and AMB, Thank you very much. My goal this spring is to pick a new GI doc and also have a GI surgeon to call on should I ever need one. Since never needing a doctor for my pouch since my surgery 22 years ago, I’ve taken it for granted. The blockage woke me up when the ER doc (who really didn’t even know what a Jpouch was) had me scheduled for gall bladder surgery. Thankfully, I knew what it was and wasn’t having surgery. I would have been transferred to Mt. Sinai which I had done after major disc surgery about next five years ago and my GI system didn’t start back up and I was being told I had a blockage. Most general doctors and surgeons don’t seem to have a clue when it comes to pouches and the issues with the GI system due to a pouch. Thanks again.